Pneumonia Flashcards
Name 3 complications of pneumonia
ARDS
Empyema formation
Abscess formation
Pleural effusion
Name 2 scoring systems which measure the severity of pneumonia
Pneumonia Severity Index (PSI)
CURB-65
What is the most common cause of community-acquired pneumonia?
Streptococcus pneumoniae
What is the definition of hospital-acquired pneumonia?
> =48 hours after admission to hospital
Old man with diabetes with redcurrant sputum. What is the bug?
Klebsiella pneumonia
Middle-aged man IVDU with pneumonia. What is the bug?
Staph aureus
HIV patient with pneumonia, with fever, exertional dyspnoea and X-ray shows perihilar interstitial shadowing. What is the bug?
Pneumocystis jirovecii
Woman just come back from Spain. She has dry cough, myalgia, deranged LFTs and hyponatraemia. What is the bug?
Legionella pneumophilia
What is the treatment for legionella?
Clarithromycin
What are the components of CURB-65?
Confusion (AMT =< 8)
Urea > 7
RR > 30/minute
Blood pressure < 90mmHg systolic
65 years
What should you prescribe and do for each level of CURB-65?
Score 0 - 1 (mild): amoxicillin
Score 2 (moderate): amoxicillin + clarithromycin
Score 3 - 5 (severe): co-amoxiclav + clarithromycin
In patients with moderate or high-severity community-acquired pneumonia, obtain blood and sputum cultures and consider performing pneumococcal and legionella urinary antigen tests.
Treatment for pneumocystis jirovecii?
co-trimoxazole
Give 2 common causes of community-acquired pneumonia
Strep pneumoniae
Haemophilus influenzae
Moraxella catarrhalis
Give 2 commonest causes of community-acquired pneumonia
Strep pneumoniae
Haemophilus influenzae
Moraxella catarrhalis
Give 3 causes of atypical pneumonia
Mycoplasma pneumoniae
Legionella pneumophila
Chlamydia pneumophilaTgr
